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Ann Thorac Surg 2000;69:1075-1076
© 2000 The Society of Thoracic Surgeons

ORIGINAL ARTICLES: CARDIOVASCULAR

Invited commentary

Jeffrey P. Gold, MDa, Mary E. Charlson, MDa, Gregg S. Hartman, MDa

a Department of Cardiothoracic Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, 3400 Bainbridge Ave, Fifth Floor, Bronx, NY 10467, USA

e-mail: jgold@montefiore.org


   Introduction
 
The work presented by Hill and colleagues finds no evidence of a relationship between the mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) and mortality. This study cannot be directly compared to the work of Gold and colleagues [1] as the two studies differ substantially with regard to basic design and other important methodologic issues. The first key methodologic difference involves the basic study design. In the current study, patient blood pressure [BP] was managed "at the discretion of anesthesia personnel" during CPB. Whether the anesthesiologist chose specific BP targets—high or low—for different patients was not recorded and is therefore unknown. It is not possible to know if anesthesiologists actively . . . [Full Text of this Article]


Related Article

Intraoperative physiologic variables and outcome in cardiac surgery: part I. In-hospital mortality
Steven E. Hill, Gijs K. van Wermeskerken, Jan-Willem H. Lardenoye, Barbara Phillips-Bute, Peter K. Smith, Joseph G. Reves, and Mark F. Newman
Ann. Thorac. Surg. 2000 69: 1070-1075. [Abstract] [Full Text] [PDF]





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